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Surgical Department 外科 examination couch 检查椅abdomen 腹部 chest 胸部intern 实习医生 symptom 症状abdominal distension 腹胀 urine 尿take a deep breath 深呼吸 palpitation 心悸dizziness 头晕 clinical manifestation 临床表现diagnosis 诊断 rupture 破裂spleen 脾脏 bowl 肠muscular tension 肌紧张 incoagulable blood 不凝血abdominal paracentesis 腹腔穿刺rib 肋骨 hematocelia 腹腔积血hemorrhage 出血 peritonitis 腹膜炎laparotomy 剖腹术 abdominal wall 腹壁abdominal cavity 腹膜腔 splenic rupture 脾破裂splenectomy 脾切除术Two hours ago he got injured in his abdomen ,and now he has severe abdominal pain.两小时前他腹部受伤了,现在他有严重的腹痛。Gradually it grew and spread and the entire abdomen aches with abdominal distention.疼痛逐渐加重后播散到全腹,并伴有腹胀。Increasingly worse ,especially when I move or take a deep breath I notice it more.疼痛越来越重,特别是移动或深呼吸时更痛。We will send you for a blood test ,a chest X-ray and an abdominal ultrasound examination.我们将会让你做一个血液检查、胸片检查和一个腹部超声检查。According to his history ,clinical manifestations and the results of the accessory examinations ,I think the diagnosis for this patient is a ruptue of the spleen.根据他的病史、临床表现以及辅助检查结果,我认为这个病人的诊断是脾破裂。First,he has the history of determined abdominal injury .Second ,from the examination we see that although his vital signs are normal ,the patients face is pale and swollen .The abdominal examination shows that his bowel sounds have weakened .Palpation reveals apparent tenderness ,rebound tenderness and muscular tension in the left upper abdomen .Third ,incoagulable blood has been drawn out through abdominal paracentesis .Fourth , chest X-ray film shows the left lower rib fractured . Fifth , the abdominal ultrasound reveals hematocelia .第一,他有明确的腹部外伤史。第二,通过检查我们看到他的生命体征正常,面色苍白、肿胀。腹部检查显示他的肠鸣音减弱。触诊左上腹有明显的压痛、反跳痛和肌紧张。第三,腹腔穿刺抽出不凝血。第四,胸片显示他左侧低位肋骨骨折。第五,超声检查表明有腹腔积血。We diagnose your husband , Mrs. Jones as having internal abdominal injury , intraperitoneal hemorrhage and peritonitis .琼斯夫人,我们对您丈夫的诊断是腹内损伤,腹膜内出血和腹膜炎。Thats to say we cut his abdominal wall , reach his abdominal cavity and do a general examination of the organs in his abdomen . If it is serious splenic rupture , well have to remo

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